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Investments in Other Entities - Summarized Balance Sheets and Statements of Income (Details) - USD ($) | 12 Months Ended
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Dec. 31, 2019 | Dec. 31, 2018
LaSalle Medical Associates – IPA Line of Business |  |
Assets |  |
Cash and cash equivalents | $ 6,345,195 | $ 18,444,702
Receivables, net | 5,123,228 | 2,897,337
Other current assets | 3,526,319 | 5,459,442
Loan receivable | 2,250,000 | 1,250,000
Restricted cash | 683,358 | 667,414
Total assets | 17,928,100 | 28,718,895
Liabilities and Stockholders’ Equity |  |
Current liabilities | 23,529,745 | 26,837,814
Stockholders’ (deficit) equity | (5,601,645) | 1,881,081
Total liabilities and stockholders’ (deficit) equity | 17,928,100 | 28,718,895
Statements of Operations |  |
Revenues | 194,020,435 | 239,031,485
Expenses | 205,153,162 | 251,738,193
Loss before income tax provision | (11,132,727) | (12,533,352)
Loss from operations | (11,132,727) | (12,706,708)
Other Income | 0 | 173,356
Income tax benefit | 0 | (3,334,332)
Net loss | (11,132,727) | (9,199,020)
Universal Care, Inc. |  |
Assets |  |
Cash and cash equivalents | 33,889,962 | 27,812,520
Receivables, net | 63,843,009 | 46,978,703
Other current assets | 38,280,156 | 18,670,350
Other assets | 882,243 | 661,621
Property and equipment, net | 4,021,341 | 2,786,996
Total assets | 140,916,711 | 96,910,190
Liabilities and Stockholders’ Equity |  |
Current liabilities | 128,330,389 | 89,731,133
Other liabilities | 33,132,948 | 25,024,043
Stockholders’ (deficit) equity | (20,546,626) | (17,844,986)
Total liabilities and stockholders’ (deficit) equity | 140,916,711 | 96,910,190
Statements of Operations |  |
Revenues | 500,374,910 | 326,719,634
Expenses | 502,566,659 | 335,242,582
Loss before income tax provision | (2,191,749) | (8,522,948)
Income tax benefit | 257,628 | 3,692,818
Net loss | (2,449,377) | (12,215,766)
531 W. College, LLC |  |
Assets |  |
Cash and cash equivalents | 139,436 | 158,088
Other current assets | 16,500 | 16,137
Other assets | 70,000 | 70,000
Property and equipment, net | 33,581,438 | 33,394,792
Total assets | 33,807,374 | 33,639,017
Liabilities and Stockholders’ Equity |  |
Current liabilities | 1,061,577 | 1,007,413
Stockholders’ (deficit) equity | 32,745,797 | 32,631,604
Total liabilities and stockholders’ (deficit) equity | 33,807,374 | 33,639,017
Statements of Operations |  |
Revenues | 0 | 0
Expenses | 1,010,423 | 875,771
Loss from operations | (1,010,423) | (875,771)
Other Income | 474,617 | 162,451
Net loss | $ (535,806) | $ (713,320)

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